Maddux, Andreas Tirso

Maddux, Andreas Tirso is an sole proprietor health care provider with primary practice located at 3240 Edwards Lake Pkwy 204, Birmingham AL 35235-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maddux, Andreas Tirso can be contacted via phone (205) 949-1414.

Contact Information

Primary practice address
3240 Edwards Lake Pkwy 204 Birmingham AL 35235-3117
Phone: (205) 949-1414
Fax: (205) 949-1415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 00013482 Alabama

Profile Details

NPI number 1316985062
LBN Legal business name Maddux, Andreas Tirso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316985062 NPPES
Alabama Other 1043321300 GROUP NPI
Alabama Other 1316985062 GROUP NPI
Alabama MEDICAID 051553190 GROUP NPI

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